From the Guidelines
For viral laryngitis, antibiotics are not recommended as they are ineffective in treating the condition, and their misuse can lead to unnecessary costs, side effects, and contribute to antibiotic resistance 1. When managing viral laryngitis, the focus should be on alleviating symptoms and supporting the patient's recovery.
- Over-the-counter pain relievers like acetaminophen (Tylenol) 325-650mg every 4-6 hours or ibuprofen (Advil, Motrin) 200-400mg every 6-8 hours can help reduce throat pain and inflammation.
- Throat lozenges containing benzocaine or menthol can provide temporary relief.
- Gargling with warm salt water (1/4 to 1/2 teaspoon of salt in 8 ounces of warm water) several times daily can soothe the throat.
- Staying well-hydrated with warm liquids like tea with honey, and using a humidifier to add moisture to the air can also be beneficial.
- Avoiding irritants such as smoking, alcohol, and speaking excessively is crucial to support recovery. As viral laryngitis is self-limiting, most cases resolve within 7 to 10 days with these supportive measures 1. If symptoms persist beyond two weeks, worsen significantly, or if you experience difficulty breathing or swallowing, seek medical attention as these could indicate a more serious condition requiring different treatment.
From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Medications for Viral Laryngitis
- There is no direct evidence to support the use of specific medications for viral laryngitis, as most cases are caused by viruses and do not respond to antibiotics 2, 3, 4, 5.
- However, some studies suggest that corticosteroids, such as dexamethasone, may be effective in reducing inflammation and relieving symptoms in cases of acute laryngitis 2, 3.
- Antibiotics, such as penicillin V and erythromycin, have been shown to have no significant benefit in treating acute laryngitis in adults 4, 5.
- Over-the-counter medications, such as acetaminophen, ibuprofen, and antihistamines, may be recommended to help manage symptoms such as pain, fever, and congestion 6.
- It is essential to note that antibiotics should not be used to treat viral laryngitis, as they are ineffective against viral infections and may contribute to antibiotic resistance 4, 5, 6.